NPIMap

Organization Active NPI

Elyassi's Greenbelt Oral and Facial Surgery

  • Oral and Maxillofacial Surgery Clinic/Center
  • Greenbelt, MD
National Provider Identifier
1316310634
Registry record updated Nov 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
Legal business name
ELYASSI'S GREENBELT ORAL AND FACIAL SURGERY
Practice address
7525 Greenway Center Dr
Suite 109
Greenbelt, MD 20770-3509
Phone
(301) 982-4555
Fax
(301) 982-4557
NPI assigned
Nov 9, 2015
Last updated
Nov 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ali R. Elyassi, DDSNPI 1447235940
Title
Owner
Phone
(301) 982-4555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X Primary

Addresses

Primary practice location

7525 Greenway Center Dr
Suite 109
Greenbelt, MD 20770-3509

Mailing address

7525 Greenway Center Dr
Suite 109
Greenbelt, MD 20770-3509
Phone (301) 982-4555

Other identifiers 1

IdentifierTypeStateIssuer
1447235940OtherMDNPI

National Provider Directory

National Provider Directory

Locations

7525 Greenway Center Dr
Ste 109
Greenbelt, MD 20770
Phone (301) 982-4555

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447027200000",
    "number": "1316310634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 GREENWAY CENTER DR",
            "address_2": "SUITE 109",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703509",
            "telephone_number": "301-982-4555",
            "fax_number": "301-982-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 GREENWAY CENTER DR",
            "address_2": "SUITE 109",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703509",
            "telephone_number": "301-982-4555",
            "fax_number": "301-982-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELYASSI'S GREENBELT ORAL AND FACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-09",
        "last_updated": "2015-11-09",
        "status": "A",
        "authorized_official_last_name": "ELYASSI",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-982-4555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1447235940",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.